BACKGROUND:

Among ovarian epithelial neoplasms, cystadenomas are the most common and almost all of them have a good prognosis. They can appear at any age, although most arise between 40 and 60 years of age.

CLINICAL CASE:

A 63-year-old patient with distal dry necrosis in the right forefoot, with a serous cystadenofibroma in the left ovary that occluded a common iliac artery and caused a distal thrombosis that required surgical intervention and right transmetatarsal amputation.

CONCLUSION:

Timely diagnosis and surgical treatment are decisive to avoid the extension of necrosis and to achieve the preservation of most of the affected limb.